CLIA lab
CLIA 11D2204425: Our Village Pediatrics
Canton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2204425 belongs to Our Village Pediatrics in Canton, GA.
Certificate of Waiver, effective December 9, 2024, expires December 8, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 9, 2024
- Certificate expiration
- December 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 9, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2204425
- Lab name
- Our Village Pediatrics
- Address
- 115 Academy Street Suite 101, Canton, GA 30114
- Phone
- (470) 389-4970
- Fax
- (470) 401-1089
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Canton, GA
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- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2186854
- Aga, LLCCertificate of Waiver, Physician office11D2138139
- Ahs Surgery Center Canton, LLCCertificate of Waiver, Ambulatory surgery center11D2076515
- American Health Imaging of CantonCertificate of Waiver, Independent11D2075795
- Aqua Dermatology of Georgia, PCCertificate of Registration, Physician office11D2312115
- Atlanta Cancer Care Canton OfficeCertificate of Accreditation, Physician office11D2129965
- Atlanta North Dermatology & Skin CareCertificate of Registration, Physician office11D2324304
- Aylo Health - CantonCertificate of Accreditation, Physician office11D2290810
- Aylo Health - Hickory FlatCertificate of Accreditation, Physician office11D2316749
Related
Questions
What is the CLIA number for Our Village Pediatrics in Canton?
11D2204425, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Our Village Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2204425 expire?
The CMS file lists December 8, 2026 as the certificate expiration date; the certificate took effect December 9, 2024.